脊髓损伤患者远程康复效果的系统分析再评价

Reassessment of systematic analysis of tele-rehabilitation effects in patients with spinal cord injury

目的分析脊髓损伤患者远程康复的系统评价。方法计算机检索PubMed、Web of Science、the Cochrane Library、CINAHL、Embase、JBI和中国知网、万方、维普数据库及中国生物医学文献数据库中关于脊髓损伤患者远程康复的系统评价,检索时间为建库至2023年3月。由2名研究人员对文献进行独立筛选与资料提取,并对方法学质量和证据质量进行评价。结果共纳入14篇文献,其中3篇为中等质量,10篇为低等质量,1篇为极低质量,整体方法学的质量级别较低。38个证据体中,中等质量证据有7条,低等质量证据有19条,极低质量证据有12条。结论远程康复对于改善脊髓损伤患者平衡能力、疼痛、压力性损伤与生活质量具有积极影响,但纳入研究的方法学的质量与证据质量均较低,未来还需设计高质量、大样本、科学严谨的研究以进一步验证。

Objective To analyze the systematic evaluation of tele-rehabilitation in patients with spinal cord injury.Methods Systematic reviews on tele-rehabilitation of spinal cord injury patients in PubMed,Web of Science,the Cochrane Library,CINAHL,Embase,JBI,CNKI,Wanfang,VIP database and Chinese biomedical literature database were searched by computer.The retrieval period was from the establishment of the database to March 2023.Two researchers conducted independent literature screening and data extraction,and evaluated the quality of jurisprudence and evidence.Results A total of 14 literatures were included,of which 3 were medium quality,10 were low quality,and 1 was very low quality.The overall methodological quality level was low.Among the 38 evidence bodies,there were 7 evidences of medium quality,19 evidences of low quality and 12 evidences of very low quality.Conclusion Tele-rehabilitation has a positive effect in improving the balance ability,pain,stress injury and quality of life of patients with spinal cord injury,but the quality of the methodologies included in the study and the quality of evidence are low.In the future,high-quality,large sample and scientifically rigorous studies need to be designed for further verification.